Hello Karen,
I have yet to replace the arm skin on SimMan, but I know it's coming.
I have replaced the skins many times on our IV arms that we use for practice. When I first had to replace one, I also asked what was the best way to change it and I was told to use baby powder. When you get the old skin off and start to replace it, use a lot of baby powder. What I found out was that it was still very hard to do. So I quit using that techniqe and started using mineral oil. I cut the old skin off, take out the tubing, and clean the arm (without skin) with a 2:1 bleach solution, to help get rid of bacteria, junk, etc.. I replace the tubing in the arm and tape it in place (use tape as this will help keep it stablized when pulling the skin back on). Apply small amount of mineral oil to arm, and pull the skin over the arm. As you progress to the wrist area of the arm, you will have have to squeeze it so that the smaller diameter of the skin can pass down it.
To delay in having to replace your IV arm skin on SimMan regularly, prior to starting your scenario place a hep-loc in SimMan and start your simulation with it already in place. Just add it to your report that you give to the learner. Just some food for thought.
Hope this helps,
Gerald Songer RN
Ouachita Technical College
One College Circle
Malvern, Ar 72104
1.800.337.5000 Ext 1204
gsonger@otcweb.edu